Collective Clarity Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLLECTIVE CLARITY PSYCHOTHERAPY LLC

Practice address

7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646

Phone

(702) 690-9163

Fax

(702) 331-2370

NPI assigned

Apr 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mariel Ann Santiago Malimban, LCSW

Title

Psychotherapist

Phone

(702) 246-2268

Specialties & licenses 1

Addresses

Other names 1

• Collective Clarity Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1639757248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 W POST RD STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136646",
            "telephone_number": "702-246-2268",
            "fax_number": "702-331-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 W POST RD STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136646",
            "telephone_number": "702-690-9163",
            "fax_number": "702-331-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE CLARITY PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "MALIMBAN",
        "authorized_official_first_name": "MARIEL ANN",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "702-246-2268",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collective Clarity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collective Clarity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valentina Collantes
• Anay Collazo Melo
• Halvin Collazo
• Michelle Collazo
• Yusleisy Collazo
• Whytny Coller, RN
• Roxana Collett
• Kassandra Colletta
• Michael Phillip Colletti, M.D.
• Traci Colley

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.